Dental
Pediatric Smiles PLLC
Pediatric Smiles PLLC was paid $1.07M by Medicaid between Jan 2018 and May 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 62% of everything it billed.
33Billing provider infoPEDIATRIC SMILES PLLC
OREM, UT 84057
OREM, UT 84057
33aNPI1366711087assigned 12/27/2011
33bProvider typePediatric Dentist
28Total paid$1.07M
24GClaims35,985
24DCodes billed20
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#27 of 152
Median peer was paid$311K
This provider vs. median3.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,539 | $191K | |
| 2019 | 3,240 | $84K | |
| 2020 | 2,899 | $88K | |
| 2021 | 8,670 | $272K | |
| 2022 | 9,957 | $311K | |
| 2023 | 3,466 | $115K | |
| 2024incomplete | 214 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 62% | 6,866 | 6,813 | $658K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 801 | 788 | $89K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.0% | 1,318 | 753 | $64K |
| D1351 | Sealant - per tooth | 4.1% | 1,464 | 334 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 7,192 | 7,146 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 342 | 223 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 231 | 213 | $27K |
| D2140 | 2.4% | 588 | 411 | $26K | |
| D1206 | Topical application of fluoride varnish | 1.8% | 7,500 | 7,429 | $19K |
| D0272 | Bitewings - two radiographic images | 1.8% | 4,667 | 4,625 | $19K |
| D0140 | Limited oral evaluation - problem focused | <1% | 230 | 228 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 1,383 | 1,372 | $9K |
8 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 182 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,411 | $6K |
| D1110 | Prophylaxis - adult | <1% | 392 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 63 | $5K |
| D0330 | Panoramic radiographic image | <1% | 602 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 721 | $2K |
| D2160 | <1% | 15 | $478.12 | |
| D0240 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHEPHERD, ADAM (OWNER/MEMBER)